| NPI | 1710272208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: VA 0101252319) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2022-03-01 |